| NPI | 1164636759 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-05-10 |
| Last Updated | 2009-10-28 |
| Authorized Official | Patty Martos DIRECTOR FINANCE PERSONNEL Phone: 7246326801 |
| Mailing Address | 1070 Old National Pike Rd Fredericktown, PA 15333-2114 United States Phone: (724) 632-6801 | Fax: (724) 632-6312 📍 View Map |
| Primary Practice Address | 86 Mcclellandtown Rd Uniontown, PA 15401-5527 United States Phone: (724) 430-7990 | Fax: (724) 430-7993 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | PA | 1007288440033 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 261QF0400X – Clinic/Center, Federally Qualified Health Center (FQHC) | PA | - |
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About NPI 1164636759
Centerville Clinics, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1164636759. The primary specialty listed is Clinic/Center, Federally Qualified Health Center (FQHC). The organization is located in Uniontown, PA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-05-10. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1164636759?
NPI 1164636759 belongs to Centerville Clinics, Inc., a Clinic/Center, Federally Qualified Health Center (FQHC) in Uniontown, PA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1164636759 active?
The current status of NPI 1164636759 in the NPPES registry is Active. The record was last updated on 2009-10-28.
What specialty is NPI 1164636759?
NPI 1164636759 is classified under the taxonomy Clinic/Center, Federally Qualified Health Center (FQHC). Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1164636759?
You can verify NPI 1164636759 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1164636759?
The primary practice address on file for NPI 1164636759 is 86 Mcclellandtown Rd, Uniontown, PA 15401-5527. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1164636759 issued?
NPI 1164636759 was first issued (enumerated) on 2007-05-10. The NPPES record was last updated on 2009-10-28.
Practice Location Map
Centerville Clinics, Inc. is located at 86 Mcclellandtown Rd, Uniontown, PA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Centerville Clinics, Inc.. All records sourced from the CMS NPPES registry.